| NPI | 1487194908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: PA PA048893) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |